Managed Care Compliance & Analysis Specialist

Catapult Consultants, LLC; Nashville (TN); On-site; USD 60,000 - 80,000; Full time

Job summary

Catapult Consultants, LLC is seeking a Managed Care Specialist in Nashville, TN. This role involves providing subject matter expertise and technical assistance on Managed Care operations. The selected candidate will support teams focused on Data Analysis, Medical Review, and Program Integrity.

The ideal candidate will have a Bachelor’s degree and at least three years of experience in Managed Care, excellent communication skills, and proficiency with Microsoft Word. This position entails a dynamic role with multiple responsibilities including training and consultation.

Qualifications

• 3+ years of Managed Care related experience.
• High proficiency level with Microsoft Word.
• Excellent verbal and written communication skills.

Responsibilities

• Provide consultation and advice on Managed Care operations.
• Train staff on MCO operations and policies.
• Assist in identifying fraud and waste in MCO environment.

Skills

Communication skills

Research skills

Independent work capability

Microsoft Word proficiency

Microsoft Excel knowledge

Microsoft PowerPoint knowledge

Education

Bachelor's degree from accredited U.S. college or university

Job description

Catapult Consultants, LLC is seeking a Managed Care Specialist in Nashville, TN. This role involves providing subject matter expertise and technical assistance on Managed Care operations. The selected candidate will support teams focused on Data Analysis, Medical Review, and Program Integrity.

The ideal candidate will have a Bachelor’s degree and at least three years of experience in Managed Care, excellent communication skills, and proficiency with Microsoft Word. This position entails a dynamic role with multiple responsibilities including training and consultation.